The Yoga Room Workshop Registration Form
— Download and print our PDF Registration Form —
Right-click and 'Save as...'
YogaRoomRegForm.pdf - 122Kb - (a pretty small file)

(you can also print this page, but it won't look as nice. Go ahead, get the PDF above! )

Advance Registration is Required.

Please note that workshops may be cancelled due to low registration, therefore, early registration works!

Call 631.838.6209 or E-mail at ccyogini@yahoo.com

Please make check payable to:
Christine Cirelli
and mail with completed form below to:
90 Colonial Drive, E. Patchogue, NY 11772


Name ______________________________________

Address _____________________________________

State _________ Zip __________________

Telephone ____________________________________

E-mail ________________________________________

Workshop ________________________________________

Date ________________________________________

Price ________________________________________

Workshop notes:
Advance registration is required.
Please submit a separate check for each workshop.
Bring a yoga mat, blanket, and props if you have them.
Please, no cell phones, beepers or pagers.
Workshops may be cancelled due to low registration, therefore it is important to register in advance to avoid possible cancellation.